Dear Indo Star Trek Members It gives me great pleasure to announce after our successful 6yr Bday last year that with this is the commencement of the beginnings of the IST Membership Card Launch!
For those of you who have not registered back at Cafe Pisa, please fill in the form as completely as possible for me to input in our database (AND TO COMPLETE IST DATABASE :D ) and as requirements for applying the membership card. Pricing of this card will be revealed soon after the meet tommorow, so please feel free to fill out the form below and submit it to MY PERSONAL EMAIL at [email protected] (this would be easier for me :D) or reply to the address with my name on it above. For those of you that did fill in the form at CAFE Pisa, please input your email address at next to your name below the online registration form and kindly send it to my personal mail also. Thank you so much for your kind attention and lets get this party started. Warm Regards Anggi Siregar IST Recruitment Team INDOSTAR TREK Online Registration Form: NAME: First: Middle: Last: Date of Birth: Gender: Handphone: Email: Date / Year of Join IST: Preferred Starfleet Dept & Uniform Colour (choose 1 only): REQUEST EMAIL DETAILS FOR THOSE THAT HAVE SUBMITTED FORM IN 6 DEC 09: 1. Abrianto Effendi 2. Eko R Harimuri 3. Berthold DH Sinaulan 4. Rhiezald MT Karuntu 5. Paulus Sutrisno 6. Andreas Pramudianto 7. Monang M Pohan 8. Fachri Siradz 9. Deni Purwanto 10.Alendra Ardivari 11.Andreas Lapian 12.Indah R Djakaria 13.Djony Siswanto 14.Jerry Hartono 15.Ignatius S Wibowo 16.Tomi Hilmawan 17.Ferry Y Putra 18.Arga Aridarma 19.Bowo T Suharso 20.Alvin Y Lana 21.Anis E Wulandari 22.Ridwan Pohan 23.Leila S Assegaf 24.Arif S Kusdarmanto 25.Rivo Agusta 26.Bagus P Indrojatmiko 27.Timmy Theopelus 28.Yudhiarma 29.Shgyn Liong 30.Ismanto H Saputro 31.Adnin N Djakaria 32.Alissa F Damiri 33.Nadia Afiff 34.Kori R Damiri 35.Wan ie Gunawan 36.Prilla A Yohana 37.Arlandi D. Landjono 38.Erianto Rachman 39.Adiyasa Dwitama 40.Yuyun Trisnawati 41.Denny Muktar 42.Maddy R Pertiwi 43.Zuhdi Rahman 44.Achmad Hersapto 45.B. Adi Nugroho 46.Anggi Z Siregar 47.Windy D Indriantari 48.Sulthon A Fadhil 49.John R Candi 50.Zico B Aldanny 51.Muhammad Hendrik 52.Adrian Y Rachman 53.Evan F Ardivari [Non-text portions of this message have been removed]
